DR. TANYA WALL, DDS
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1063528586
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | DN15601 (FL) |
Frequently Asked Questions
NPI 1063528586 is the National Provider Identifier for DR. TANYA WALL, DDS, a Dentist - Pediatric Dentistry provider located in Jacksonville, FL. This NPI was enumerated on August 21, 2006.
DR. TANYA WALL, DDS practices at 2255 DUNN AVE, BLDG. 700, Jacksonville, FL 32218.
Quick Facts
- NPI
- 1063528586
- Type
- Individual
- Enumerated
- Aug 21, 2006
- Last Updated
- Jan 8, 2019
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